Speed and Surface Speed and Magnitude of Knee Adduction

Frontal plane knee biomechanics, in particular speed and magnitude of knee adduction motion, are implicated in knee osteoarthritis development. Although individuals are between 50% to 90% more likely to develop knee osteoarthritis after anterior cruciate ligament reconstruction (ACL-R), it is unknown if ACL-R individuals exhibit knee adduction biomechanics related to OA development. This study sought to quantify speed and magnitude of knee adduction for knee OA and ACL-R individuals. We hypothesize that OA will exhibit larger, faster knee adduction biomechanics than ACL-R, which will increase at great walk speed and over a challenging surface. Six individuals with ACL-R and 8 individuals with knee OA had knee adduction quantified as they walked 1.3 m/s and at a self-selected speed over a flat and an uneven surface. Peak of stance, and average and maximum velocity of knee adduction joint angle and moment between heel strike and peak of stance were submitted to repeated measures ANOVA to compare main and interaction effects between group, speed and surface. There was a walk speed by group interaction for peak knee adduction moment (p = 0.048). Walk speed impacted maximum knee adduction joint angle (p=0.004) and moment velocity (p=0.041), while surface impacted peak knee adduction joint angle (p=0.035) and maximum knee adduction joint moment velocity (p=0.007). In partial agreement with our hypothesis, speed and magnitude knee adduction biomechanics increased with walk speed and surface, but OA did not consistently exhibit larger knee adduction biomechanics than ACL-R

Impact of Knee Injury and Disease on Frontal Plane Knee Biomechanics During Walk on Uneven Surfaces

Frontal plane knee biomechanics, in particular speed and magnitude of knee adduction motion, are implicated in knee osteoarthritis development. Although individuals are between 50% to 90% more likely to develop knee osteoarthritis after anterior cruciate ligament reconstruction (ACL-R), it is unknown if ACL-R individuals exhibit knee adduction biomechanics related to OA development. This study sought to quantify speed and magnitude of knee adduction for knee OA and ACL-R individuals. We hypothesize that OA will exhibit larger, faster knee adduction biomechanics than ACL-R, which will increase at great walk speed and over a challenging surface. Six individuals with ACL-R and 8 individuals with knee OA had knee adduction quantified as they walked 1.3 m/s and at a self-selected speed over a flat and an uneven surface. Peak of stance, and average and maximum velocity of knee adduction joint angle and moment between heel strike and peak of stance were submitted to repeated measures ANOVA to compare main and interaction effects between group, speed and surface. There was a walk speed by group interaction for peak knee adduction moment (p = 0.048). Walk speed impacted maximum knee adduction joint angle (p=0.004) and moment velocity (p=0.041), while surface impacted peak knee adduction joint angle (p=0.035) and maximum knee adduction joint moment velocity (p=0.007). In partial agreement with our hypothesis, speed and magnitude knee adduction biomechanics increased with walk speed and surface, but OA did not consistently exhibit larger knee adduction biomechanics than ACL-R

The 'At-risk mental state' for psychosis in adolescents : clinical presentation, transition and remission.

Despite increased efforts over the last decade to prospectively identify individuals at ultra-high risk of developing a psychotic illness, limited attention has been specifically directed towards adolescent populations (<18 years). In order to evaluate how those under 18 fulfilling the operationalised criteria for an At-Risk Mental State (ARMS) present and fare over time, we conducted an observational study. Participants (N = 30) generally reported a high degree of functional disability and frequent and distressing perceptual disturbance, mainly in the form of auditory hallucinations. Seventy percent (21/30) were found to fulfil the criteria for a co-morbid ICD-10 listed mental health disorder, with mood (affective; 13/30) disorders being most prevalent. Overall transition rates to psychosis were low at 24 months follow-up (2/28; 7.1 %) whilst many participants demonstrated a significant reduction in psychotic-like symptoms. The generalisation of these findings may be limited due to the small sample size and require replication in a larger sample

Self-diffusion in binary blends of cyclic and linear polymers

A lattice model is used to estimate the self-diffusivity of entangled cyclic and linear polymers in blends of varying compositions. To interpret simulation results, we suggest a minimal model based on the physical idea that constraints imposed on a cyclic polymer by infiltrating linear chains have to be released, before it can diffuse beyond a radius of gyration. Both, the simulation, and recently reported experimental data on entangled DNA solutions support the simple model over a wide range of blend compositions, concentrations, and molecular weights.Comment: 10 pages, 2 figure

Adding abiraterone or docetaxel to long-term hormone therapy for prostate cancer: directly randomised data from the STAMPEDE multi-arm, multi-stage platform protocol.

Adding abiraterone acetate with prednisolone (AAP) or docetaxel with prednisolone (DocP) to standard-of-care (SOC) each improved survival in STAMPEDE: a multi-arm multi-stage platform randomised controlled protocol recruiting patients with high-risk locally advanced or metastatic PCa starting long-term androgen deprivation therapy (ADT). The protocol provides the only direct, randomised comparative data of SOC+AAP vs SOC+DocP

Technology-Supported Storytelling (TSST) Strategy in Virtual World for Multicultural Education

Learning culture through stories is an effective way for multicultural education, since stories are one of the most powerful and personal ways that we learn about the world. Storytelling, the process of telling stories, is a form of communication and a universal expression of culture. With the development of technology, storytelling emerges out of diverse ways. This study explores the storytelling in virtual worlds for multicultural education, and devises a Technology-Supported storytelling (TSST) strategy by examining and considering the characteristics of virtual worlds which could be incorporated into the storytelling, and then uses this strategy to teach Korean culture to students with different culture background. With this innovative TSST strategy in virtual world, this study expects to provide a guide to practice for teaching multicultural in digital era

First narrow-band search for continuous gravitational waves from known pulsars in advanced detector data

Spinning neutron stars asymmetric with respect to their rotation axis are potential sources of continuous gravitational waves for ground-based interferometric detectors. In the case of known pulsars a fully coherent search, based on matched filtering, which uses the position and rotational parameters obtained from electromagnetic observations, can be carried out. Matched filtering maximizes the signalto- noise (SNR) ratio, but a large sensitivity loss is expected in case of even a very small mismatch between the assumed and the true signal parameters. For this reason, narrow-band analysis methods have been developed, allowing a fully coherent search for gravitational waves from known pulsars over a fraction of a hertz and several spin-down values. In this paper we describe a narrow-band search of 11 pulsars using data from Advanced LIGO’s first observing run. Although we have found several initial outliers, further studies show no significant evidence for the presence of a gravitational wave signal. Finally, we have placed upper limits on the signal strain amplitude lower than the spin-down limit for 5 of the 11 targets over the bands searched; in the case of J1813-1749 the spin-down limit has been beaten for the first time. For an additional 3 targets, the median upper limit across the search bands is below the spin-down limit. This is the most sensitive narrow-band search for continuous gravitational waves carried out so far